NPI: 1730964982 · BLUE ASH, OH 45242 · Dentist · NPI assigned 08/28/2023
| Authorized Official | MICHAEL, PHIL (COO) |
| NPI Enumeration Date | 08/28/2023 |
Other providers sharing the same authorized official: MICHAEL, PHIL
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOOREHEAD DENTISTRY LLC | BATAVIA | OH | $40K |
| MOOREHEAD DENTISTRY LEBANON LLC | LEBANON | OH | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 132 | $10K |